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Regorafenib

About Regorafenib

Regorafenib is an anti-cancer medicine used in the treatment of colorectal carcinoma. Colorectal cancer is a disease in which the cancer or the malignant cells grow out of control in the colon or rectum.

Regorafenib contains Regorafenib as an active ingredient, which belongs to the class of medicines known as kinase inhibitors. It works by inhibiting the action of an enzyme (tyrosine kinase) and thus stops the abnormal growth of cancer cells.

Regorafenib may cause certain side effects such as diarrhea, rash, tiredness, decreased appetite, nausea, weight loss, fatigue, stomach pain, loss of appetite, hoarseness, and dizziness. These side effects do not require medical attention and gradually resolve over time. Regorafenib should be taken as advised by your doctor.

Avoid taking Regorafenib if you are allergic to it or any other components of it. Before taking this medicine, inform your doctor if you have/had liver or kidney disease, gastrointestinal disorders, hypertension, heart problems, blood disorders, plan of any surgery, or any skin disorders. This medicine is not recommended for use in pregnant and breastfeeding mothers due to embryo-fetal toxicity.

Uses of Regorafenib

Treatment of Colorectal Cancer

Medicinal Benefits

Regorafenib contains, Regorafenib which used in the treatment of colorectal cancer (CRC) in patients who have previously been treated with fluoropyrimidine-, oxaliplatin- and irinotecan-based chemotherapy, an antiVEGF therapy, and, if KRAS wild type, an anti-EGFR therapy. It works by stopping the action of a tyrosine kinase enzyme that causes the multiplication of cancerous cells. This helps stop the abnormal growth of cancer cells and thus reduce the further spread to other parts of the body. In this way, Regorafenib stops the body's production, spread and growth of cancerous cells.

Directions for Use

Take Regorafenib as prescribed by the doctor. It should be taken with a low-fat breakfast. Swallow it as a whole with a glass of water. Do not crush, break, or chew the medicine. This medicine should be taken once daily for 21 days and then stopped for 7 days. This is called 1 cycle of therapy. Repeat the same until your doctors tells you. Avoid taking more than the prescribed dose of medicine.

Storage

Store in a cool and dry place away from sunlight

Side Effects of Regorafenib

  • Nausea
  • Diarrhea
  • Loss of appetite
  • Skin rash
  • Hoarseness
  • Tiredness
  • Chest pain
  • Dizziness
  • Weakness

Drug Warnings

To treat your condition effectually, continue taking Regorafenib for the period that your doctor has prescribed. Avoid taking Regorafenib if you are allergic to it or any other components present in it. Breastfeeding should be discontinued in nursing mothers during the treatment as it passes into breast milk and may cause a possible risk to the infant. This medicine is not recommended for use in children below 18 years of age as the safety and efficacy are not established. Regorafenib may cause hypertension, heart attack, hand-foot skin reaction, gastrointestinal perforation, haemorrhage, hepatotoxicity, and Reversible Posterior Leukoencephalopathy Syndrome (RPLS) in some patients. Hence, inform your doctor about your complete medication and medical history before taking Regorafenib. Inform your doctor if you are pregnant or are planning to become pregnant before starting the treatment, as this medicine is known to cause embryo-fetal toxicity. Avoid driving and operating machines, as this medicine may cause dizziness.

Drug Interactions

Drug-Drug Interactions: Regorafenib may have interaction with strong CYP3A4 inhibitors (clarithromycin, diltiazem, erythromycin, itraconazole, ketoconazole, ritonavir), strong CYP3A4 inducers (carbamazepine, rifampicin, phenytoin, phenobarbitone).

Drug-Food Interactions: Avoid alcohol consumption and smoking.

Dug-Disease Interactions: Tell your doctor if you have liver or kidney disease, heart problems, GI perforation, or lung toxicity before starting the treatment.

Drug-Drug Interactions Checker List:

  • CLARITHROMYCIN
  • RITONAVIR
  • KETOCONAZOLE
  • ITRACONAZOLE
  • RIFAMPICIN
  • PHENYTOIN
  • Safety Advice

    • Safety Warning

      Alcohol

      unsafe

      Avoid alcohol consumption while taking Regorafenib.

    • Safety Warning

      Pregnancy

      unsafe

      Regorafenib is not recommended for use in pregnancy as it may cause embryo-fetal toxicity and harm your foetus. Hence, if you are pregnant or planning pregnancy, inform your doctor before taking Regorafenib. You should not become pregnant while you are taking Regorafenib and for at least two weeks after your treatment. Using effective birth control methods while on treatment with Regorafenib is suggested.

    • Safety Warning

      Breast Feeding

      unsafe

      Regorafenib should not be taken if you are breastfeeding as it passes into breast milk and may harm your infant.

    • Safety Warning

      Driving

      unsafe

      Regorafenib may cause dizziness in some patients. Hence, do not drive, operate machinery, or engage in any activity that needs concentration until you are confident that you can do so safely while you are on treatment with Regorafenib.

    • Safety Warning

      Liver

      caution

      If you have a pre-existing or a history of liver problems, tell your doctor before taking this medicine. Your doctor may adjust the dose of this medicine or prescribe a suitable alternative based on your condition.

    • Safety Warning

      Kidney

      caution

      If you have a pre-existing or a history of kidney diseases, inform your doctor before taking Regorafenib. Your doctor may adjust the dose of this medicine or prescribe a suitable alternative based on your condition.

    • Safety Warning

      Children

      unsafe

      Regorafenib is not recommended for use in children below 18 years of age as the safety and efficacy is not established.

    Habit Forming

    No

    Diet & Lifestyle Advise

    • Physical activity helps strengthen muscles, reduces fatigue, helps in weight loss, and gives strength. Gentle activities like 20-30 minutes of walking or swimming would be helpful.
    • Maintain a healthy weight by performing regular low-strain exercises and eating healthy food.
    • Getting adequate sleep as resting helps improve your health and mental ability and improves attention.
    • De-stress yourself by meditating, reading books, taking a warm bubble bath, or listening to soothing music.
    • Eat food rich in antioxidants such as berries, spinach, etc.
    • Foods containing fibre help in better digestion. These include beans, peas, lentils, whole grains, nuts, and seeds.
    • Avoid smoking and alcohol consumption.
    • Maintain a healthy weight.
    • Avoid fast food, fried food, processed meats, refined carbs and added sugars.

    Special Advise

    • Your doctor may suggest periodic liver function tests to monitor the function of the liver due to the use of Regorafenib.
    • It is advised to use contraceptive pills while using Regorafenib to prevent pregnancy.
    • Seek medical attention immediately if you have swelling in your lower legs, fast heartbeats, or trouble breathing as it may be a sign of a heart problem.

    Patients Concern

    Disease/Condition Glossary

    Colorectal cancer: Also known as colon cancer (growth of cancer cells in the colon) or rectal cancer (cancer cells grow in the rectum area) is a condition in which the cancerous or the malignant cells grow out of control in the colon or rectum. Symptoms may include diarrhoea, constipation, bloody stools, change in the bowel habits, abdominal discomfort, etc.

    FAQs

    Regorafenib is used to treat Colorectal Cancer.

    Regorafenib contains Regorafenib, which works by stopping the action of a tyrosine kinase enzyme that causes the multiplication of cancerous cells.

    Regorafenib is safe to be taken by a diabetic person. However, take Regorafenib only after consulting with a doctor, as they may adjust the dosing according to your condition.

    You should know that this medicine may reduce fertility in both men and women. Discuss the risks of taking an irinotecan injection with your doctor.

    Yes, Regorafenib is a chemotherapy agent used in the treatment of colon and rectal cancer.

    Regorafenib should be taken with a low-fat breakfast. Swallow it as a whole with a glass of water. Do not crush, break, or chew the medicine.

    Yes, Regorafenib works by shrinking the tumours or stopping their growth. Thereby, it helps treat colorectal cancer.

    Regorafenib may cause side effects such as diarrhoea, rash, tiredness, decreased appetite, nausea, weight loss, fatigue, stomach pain, loss of appetite, hoarseness, and dizziness. Consult the doctor if any of these side effects persist or worsen.

    Available Medicines for

    Regorafenib

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